Supplies, drugs & other prices at Highpoint Health – Riverview with Ascension Saint Thomas

Carthage, TN · every code in this section with a posted price and a Medicare benchmark.

47 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $695.48 $2,133.37 2.1×
Adm tocilizu covid-19 1st (M0249) $743.90 $2,281.91 1.8×
Adm tocilizu covid-19 2nd (M0250) $743.90 $2,281.91 1.8×
Admin influenza virus vac (G0008) $60.11 $184.40 1.3×
Admin pneumococcal vaccine (G0009) $60.11 $184.40 1.3×
Catheterize for urine spec (P9612) $61.15 $187.57 6.5×
Cbc without platelet (G0307) $53.71 $164.76 8.3×
Cbc/diffwbc w/o platelet (G0306) $61.77 $189.49 7.9×
Colon ca scrn not hi rsk ind (G0121) $1,471.85 $4,514.87 1.6×
Colorectal scrn; hi risk ind (G0105) $1,760.01 $5,398.80 2.0×
Diab manage trn per indiv (G0108) $98.49 $302.12 1.8×
Diab manage trn ind/group (G0109) $47.45 $145.55 3.0×
Direct refer hospital observ (G0379) $603.35 $1,850.78 1.1×
Drug test def 1-7 classes (G0480) $94 $288.35 0.8×
Elec stim other than wound (G0283) $57.29 $173.62 4.5×
Group mnt 2 or more 30 mins (G0271) $21.50 $65.96 1.3×
Hbot, full body chamber, 30m (G0277) $377.81 $1,158.92 2.9×
Home sleep test/type 3 porta (G0399) $302.16 $920.99 1.5×
Hopd mntl hlt, 15-29 min (C7900) $46.94 $143.98 1.3×
Hopd mntl hlt, 30-60 min (C7901) $119.95 $367.95 1.2×
Hopd mntl hlt, grp (C7903) $276.75 $848.93 7.7×
Hospital outpt clinic visit (G0463) $195.18 $598.70 1.5×
Mnt subs tx for change dx (G0270) $51.03 $156.52 1.6×
Mra w/cont, abd (C8900) $2,405.60 $7,379.15 7.2×
Mra w/cont, chest (C8909) $2,537.19 $7,782.80 7.6×
Mra w/cont, lwr ext (C8912) $2,529.94 $7,711.21 7.6×
Mra w/o cont, abd (C8901) $2,405.60 $7,379.15 10.5×
Mra w/o cont, chest (C8910) $2,537.19 $7,782.80 11.1×
Mra w/o cont, lwr ext (C8913) $1,917.03 $5,809.18 8.4×
Mra w/o fol w/cont, abd (C8902) $2,405.60 $7,379.15 7.2×
Mra w/o fol w/cont, chest (C8911) $2,537.19 $7,782.80 7.6×
Mra w/o fol w/cont, lwr ext (C8914) $2,529.94 $7,711.21 7.6×
Mra w/o fol w/cont, pelvis (C8920) $3,852.36 $11,817.05 11.5×
Mra, w/o&w/dye, upper extr (C8936) $1,878.50 $5,748.03 5.6×
Mri w/o fol w/cont, breast, (C8908) $1,919.56 $5,888.21 5.7×
Mri w/o fol w/cont, brst, un (C8905) $1,322.94 $4,008.90 4.0×
Oth resp proc, group (G0239) $112.81 $346.04 3.1×
Oth resp proc, indiv (G0238) $43.01 $131.93 1.5×
Prostate biopsy, any mthd (G0416) $257.96 $786.27 0.8×
Psa screening (G0103) $121.77 $373.52 6.3×
Therapeutic procd strg endur (G0237) $43.01 $131.93 1.5×
Tomosynthesis, mammo (G0279) $274.66 $837.66 21.6×
Transcatheter Renal Sympath Denervation Bilat (0339T) $7,434.78 $22,806.08 1.4×
Transcatheter renal sympath denervation unilat (0338T) $7,434.78 $22,806.08 1.4×
Trauma respons w/hosp criti (G0390) $7,183.50 $22,035.28 5.6×
Tte w or wo fol wcon,doppler (C8929) $1,351.18 $4,144.71 1.8×
Unsched dialysis esrd pt hos (G0257) $1,227.43 $3,765.11 1.9×